Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1962462556
Practice Locations (2)
THE SOUTHEAST PERMANENTE MEDICAL GROUP
2525 CUMBERLAND PKWY SE
ATLANTA, GA 303393915
7704314235
THE SOUTHEAST PERMANENTE MEDICAL GROUP
3495 PIEDMONT RD NE
ATLANTA, GA 303051729
4043647206
Source: CMS National Downloadable File, September 2026.